Fear of dying dirty: Intimate care encounters during COVID-19 pandemic in South African context
Shakwane, Simangele
Background: Physical distancing, personal protective equipment (PPE) and hand hygiene
were encouraged during the pandemic of COVID-19. However, personal hygiene procedures
for patients admitted to hospitals, such as assisted baths, oral care and elimination, were
neglected.
Aim: This study aimed to describe intimate care and touch experiences for patients admitted
to the hospital during the COVID-19 pandemic lockdown.
Setting: This study was conducted in the medical and surgical units of two hospitals in
Gauteng province.
Methods: A generic qualitative approach was used to explore and describe the patients’
intimate care and touch experiences during the COVID-19 hard lockdown. In-patient
individuals above 18 years were purposively sampled. Twelve patients aged between 28 and
60 years participated in semi-structured interviews. Data were analysed using thematic
analysis.
Results: Three central themes emerged from the data: (1) Keeping away from the body,
(2) Who is touching my body? and (3) Fear of dying dirty - a sense of losing bodily dignity. The
participants felt that the nurses were trying to avoid them, as they were seen as potential
carriers of the COVID-19 pandemic.
Conclusion: The cleanliness of a patient’s body gives them a sense of self-respect and dignity.
Nurses should find ways to ensure that patients receive quality intimate care and touch, even
during situations such as the pandemic.
Contribution: Patients’ religious or cultural beliefs and anxieties about dying dirty should
be acknowledged and respected in nursing care to provide quality bodily care for all
patients
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